A client receiving radiation therapy as treatment for colorectal ...

[theo]

A client receiving radiation therapy as treatment for colorectal cancer is experiencing nausea and vomiting. What should the nurse encourage the client to do?
 
  A) Avoid all food and liquid until nausea and vomiting stop.
  B) Delay the intake of a meal until 3-4 hours after treatment.
  C) Eat spicy or well-seasoned foods instead of bland foods.
  D) Use a commercial mouthwash before eating a meal.

Question 2

The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer. Which outcomes indicate that care has been successful?
 
  Select all that apply.
  A) Client reports pain level as an 8 on a rating scale of 0-10.
  B) Client has an hourly urine output of 45 mL.
  C) Client performs morning care with assistance.
  D) Client states family members will care for the ostomy at home.
  E) Client tolerates full liquid diet and is requesting solid food.

[dajones82]

Answer to Question 1

Answer: B

Nausea and vomiting are not uncommon in client receiving radiation, and the client may benefit from delaying meals for a few hours after treatment, allowing the primary effects to subside somewhat. Avoiding all food and liquid could put the client at risk for dehydration. Using a mouthwash and eating spicy foods are not recommended interventions for nausea and vomiting.

Answer to Question 2

Answer: B, C, E

Evidence that care has been effective includes an adequate hourly urine output of at least 0.5 mL/kg/hr, ability to perform activities of daily living, and tolerating oral intake. Not participating in the care of an ostomy and stating that family will provide the care needed are evidence of ineffective coping, an undesirable outcome. Pain rating should be at a level or 3 or less as evidence of successful care.

[theo]

TYSM

[bulacsom]

Excellent